DH and I are considering changing our baby's name (see other thread). I am keen to change but he is not. One compromise position could be to keep her first name intact but add in an extra middle name and then use that when referring to her. But I always thought this gave you problems with doctors surgeries, application forms, passport control and bascially anywhere where your name was written down. There must be people out there who use their middle name. Just annoying is it?